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Transmedicalism is the idea that being transgender or transsexual is contingent upon experiencing gender dysphoria or requiring medical treatment to transition. Transmedicalists believe individuals who identify as transgender, do not experience gender dysphoria, and have no desire to undergo a medical transition — through methods such as hormone replacement therapy or sex reassignment surgery — are not genuinely transgender. They may also exclude those who identify themselves as non-binary from the trans label.
Transmedicalists are sometimes referred to as transmeds and truscum, a term coined by a user on microblogging website Tumblr, meaning "true transsexual scum," which has since been reappropriated. Terms for those who believe that gender dysphoria is not required to be transgender are transtrender or tucute, meaning "too cute to be cisgender."
Criticism of the transmedicalist perception of gender is broad and varied. Many may view transmedicalism as akin to the medical model of disability in that it medicalizes an attribute that contains both medical and social components.
[...] trans medicalists themselves have self-consciously reappropriated the term 'truscum' to describe their position.
Often referred to in short, by themselves and others, as simply transmedicalists (and sometimes as truscum or transfundamentalists), those who subscribe to this view ratify medical authority in regulating transgender experience, insisting that deviating from the established medical model undermines public acceptance of trans communities and trivializes 'authentic' transexperiences. They criticize those deemed "transtrenders," individuals who 'inauthentically' claim to be transgender in the absence of medicalized criteria, particularly gender dysphoria.